The Pilot News

Breakthrou­gh in identifyin­g advanced, recurrent prostate cancer

- BY MICHAEL ROIZEN, M.D., AND MEHMET OZ, M.D.

Seventeen years ago, Robert De Niro was treated for prostate cancer. Warren Buffet is eight years out. Diagnosed in early stages, these guys beat cancer. But not everyone is so fortunate. The Centers for Disease Control and Prevention recently revealed that the number of men diagnosed with metastatic prostate cancer (advanced cancer that’s spread and is harder to treat successful­ly) has jumped from 4% to 8% of all cases.

That’s why a newly Food and Drug Administra­tionapprov­ed imaging agent called Ga-68 PSMA-11 that can detect hard-to-spot prostate cancer lesions far earlier than before is being called a game changer. This PET scan imaging agent binds to prostate-specific membrane antigen on cancer cells, allowing doctors to locate potentiall­y curable prostate cancer that has high-risk characteri­stics for metastasis, and to locate suspected recurrence­s of prostate cancer.

There’s been a lot of debate about getting a yearly prostate specific antigen blood test because that can lead to unnecessar­y and life-altering procedures for some men. So the American Cancer Society suggests men age 50 and older at average risk for prostate cancer who have a PSA of less than 2.5 ng/ml get retested every two years. Higher than 2.5 ng/ml? Test annually. If a PSA test indicates potential trouble, then this new scanning technique can more accurately ID who needs immediate interventi­on and where and how to do it, saving lives while reducing the risk of unnecessar­y surgeries.

Psst! A more sensitive and specific Isopsa(tm) test also has arrived. The Cleveland Clinic and other places already use it for specific cases. So don’t avoid your doc, guys.

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